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General NPI Number Information
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NPI Number | 1649927179
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Entity Type | Organization
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Legal Business Name | STORYTELLERS CHILD AND FAMILY THERAPY LLC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 12250 SW 2ND ST STE A103
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City | BEAVERTON
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State | OR
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Zip | 97005-2828
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Country | US
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Telephone | 971-712-3628
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Fax |
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Provider Business Mailing Address
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Address Line | 12250 SW 2ND ST STE A103
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City | BEAVERTON
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State | OR
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Zip | 97005-2828
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Country | US
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Telephone | 971-712-3628
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND THERAPIST
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Name | ELIZABETH ORTHMANN
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Credential | LMFT
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Telephone | 971-712-3628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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